Organization Active NPI

Tri Town Pharmacy LLC

Doing business as Tri Town pharmacy

  • Community/Retail Pharmacy
  • Woodland Park, NJ
National Provider Identifier
1073163291
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TRI TOWN PHARMACY LLC
Doing business as
Tri Town pharmacy
Practice address
279 Browertown Rd Ste 1
Woodland Park, NJ 07424-2663
Phone
(973) 837-8830
Fax
(973) 837-8831
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucy IsaacNPI 1700492444
Title
Owner
Phone
(718) 210-6232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

279 Browertown Rd Ste 1
Woodland Park, NJ 07424-2663

Mailing address

279 Browertown Rd Ste 1
Woodland Park, NJ 07424-2663
Phone (973) 837-8830

Other names 1

  • Tri Town pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

279 Browertown Rd
Ste 1
Woodland Park, NJ 07424
Phone (973) 837-8830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1073163291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BROWERTOWN RD STE 1",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242663",
            "telephone_number": "973-837-8830",
            "fax_number": "973-837-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BROWERTOWN RD STE 1",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242663",
            "telephone_number": "973-837-8830",
            "fax_number": "973-837-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI TOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-210-6232"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri Town pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.